A5077580828- Cardiac, Anesthesia and Surgical Outcomes
- Appendicitis Diagnosis and Management
- Hip and Femur Fractures
- Pelvic and Acetabular Injuries
- Abdominal Trauma and Injuries
- Trauma and Emergency Care Studies
- Anesthesia and Pain Management
- Opioid Use Disorder Treatment
- Hernia repair and management
- Gun Ownership and Violence Research
- Abdominal vascular conditions and treatments
- Pain Management and Opioid Use
- Esophageal and GI Pathology
- Abdominal Surgery and Complications
- Otolaryngology and Infectious Diseases
- Colorectal Cancer Surgical Treatments
- Cardiac and Coronary Surgery Techniques
- Microscopic Colitis
- Frailty in Older Adults
- Surgical site infection prevention
- Antimicrobial Resistance in Staphylococcus
- Gallbladder and Bile Duct Disorders
- Clostridium difficile and Clostridium perfringens research
- Gastrointestinal disorders and treatments
- Trauma Management and Diagnosis
Siriraj Hospital
2014-2023
Mahidol University
2018-2023
Massachusetts General Hospital
2018-2022
Harvard University
2018-2022
Northwestern Memorial Hospital
2020
Jackson Memorial Hospital
2020
University of Maryland, Baltimore
2020
Loma Linda University
2020
Mayo Clinic in Florida
2020
Marshfield Clinic
2020
Objective: The International Patterns of Opioid Prescribing study compares postoperative opioid prescribing patterns in the United States (US) versus rest world. Summary Background Data: US is middle an unprecedented epidemic. Diversion unused opioids contributes to Methods: Patients ≥16 years old undergoing appendectomy, cholecystectomy, or inguinal hernia repair 14 hospitals from 8 countries during a 6-month period were included. Medical records systematically reviewed identify: (1)...
BACKGROUND The degree to which malnutrition impacts perioperative outcomes in the elderly emergency surgery (ES) patient remains unknown. We aimed study relationship between malnutrition, as measured by Geriatric Nutritional Risk Index (GNRI), and postoperative patients undergoing ES. METHODS Using 2007 2016 American College of Surgeons National Surgical Quality Improvement Program database, all 65 years or older ES were included our study. GNRI, defined (1.489 × albumin [g/L]) + (41.7...
BACKGROUND The Emergency Surgery Score (ESS) was recently developed and retrospectively validated as an accurate mortality risk calculator for emergency general surgery. We sought to prospectively validate ESS, specifically in the high-risk nontrauma laparotomy (EL) patient. METHODS This is Eastern Association of Trauma multicenter prospective observational study. Between April 2018 June 2019, 19 centers enrolled all adults (aged >18 years) undergoing EL. Preoperative, intraoperative,...
The Emergency Surgery Score (ESS) was validated recently as an accurate and user-friendly post-operative mortality risk calculator specific for General (EGS). ESS is calculated by adding one to three integer points each of 22 pre-operative variables (demographics, co-morbidities, laboratory values); increasing scores accurately gradually predict higher rates. We sought evaluate whether can the occurrence infectious complications in EGS patients.Using American College Surgeons National...
BACKGROUND Hospital length of stay (LOS) is currently recognized as a key quality indicator. We sought to investigate how much the LOS variation in high-risk group patients undergoing Emergency general surgery could be explained by clinical versus nonclinical factors. METHODS Using 2007 2015 American College Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database, we included all who underwent an emergency appendectomy, cholecystectomy, colectomy, small intestine...
BACKGROUND: Despite the presence of highly reliable data, studies on packed red blood cells (pRBC):fresh frozen plasma (FFP) ratio suffer from limited sample size and survivor bias. We sought to study association between FFP:pRBC early mortality in hemorrhaging trauma patient. STUDY DESIGN: This was a retrospective nationwide cohort that included all TQIP participating hospitals (2013 2016). patients who were transfused ≥10 pRBCs ≥1 FFP within 24 hours. excluded transferred those died...
The decision to emergently operate on nonagenarian patients (NONAs) can be complex due the uncertainty about outcomes and goals of care at this advanced age. We sought study: (1) predictors mortality for NONAs undergoing emergency general surgery (EGS) (2) accuracy ACS-NSQIP risk calculator in special population.Using 2007 2015 database, we included all older than 90 years age who underwent an emergent operation with a Current Procedural Terminology (CPT) code "digestive system."...
Recent studies suggest that obesity is a risk factor for Clostridium difficile infection, possibly due to disruptions in the intestinal microbiome composition. We hypothesized body mass index (BMI) associated with increased incidence of C. infection surgical patients.
Early diagnosis and prompt debridement of necrotizing soft tissue infection (NSTI) improves the outcome. We sought to determine whether failure admit NSTI patients acute care surgery (ACS) departments delays treatment increases mortality rate.
Outcome data on the very elderly patients undergoing emergency general surgery (EGS) are sparse. We sought to examine short- and long-term mortality in 80 plus years population following EGS.
Ischemic gastrointestinal complications (IGIC) following cardiac surgery are associated with high morbidity and mortality remain difficult to predict. We evaluated perioperative risk factors for IGIC in patients undergoing open surgery.All that underwent an surgical procedure at a tertiary academic center between 2011 2017 were included. The primary outcome was IGIC, defined as acute mesenteric ischemia necessitating intervention or postoperative bleeding proven be of ischemic etiology...
OBJECTIVE Evidence comparing stoma creation (STM) versus anastomosis after urgent or emergent colorectal resection is limited. This study examined outcomes in emergency general surgery patients. METHODS was an Eastern Association for the Surgery of Trauma-sponsored prospective observational multicenter patients undergoing urgent/emergent resection. Twenty-one centers enrolled 11 months. Preoperative, intraoperative, and postoperative variables were recorded. χ 2 , Mann-Whitney U test,...
Acute alcohol intoxication is very common in patients with severe traumatic brain injury (TBI). Whether there an independent association between and mortality debated. This study hypothesized that independently associated less after TBI (sTBI).This retrospective observational cohort included all sTBI [head-Abbreviated Injury Score (AIS) ≥3, corresponding to serious head or worse] admitted from 1 January 2011 31 December 2016 academic level I trauma center. Patients were classified as without...
The Emergency Surgery Score (ESS) was recently validated as an accurate mortality risk calculator for emergency general surgery. We sought to prospectively evaluate whether ESS can predict the need respiratory and/or renal support (RRS) at discharge after emergent laparotomies (EL).This is a post hoc analysis of 19-center prospective observational study. Between April 2018 and June 2019, all adult patients undergoing EL were enrolled. Preoperative, intraoperative, postoperative variables...
Rationale and objectivesTransmural bowel necrosis (TBN) is an uncommon surgical emergency that represents endpoint of occlusive acute mesenteric ischemia (AMI), nonocclusive AMI small obstruction (SBO). According to limited evidence, each etiology TBN might demonstrate a different CT finding. This investigation aimed 1) identify overall findings TBN, 2) compare in etiology.Materials methodsForty-nine consecutive adults (mean age, 64.6 years; 26 men) with AMI, or SBO, pathologically proven...